AUTUMN LEAVES NURSING HOME
NPI 1164510475
Skilled Nursing Facility in Greenville, MS

Active since October 11, 2006
570 SOLOMON ST, GREENVILLE, MS 38703(662) 335-5863(662) 335-5874 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Autumn Leaves Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LEAVES NURSING HOME (NPI 1164510475) is a healthcare organization registered as a skilled nursing facility in Greenville, Mississippi and active in the NPI registry since October 2006. The organization lists Richard Thomas Daspit, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164510475
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAGNOLIA HEALTHCARE, INC.
Location Address570 SOLOMON STGreenville, MS 38703-2771
Mailing AddressPo Box 40018Baton Rouge, LA 70835-0018 · (225) 753-0864 · Fax (225) 753-0948
Fax(662) 335-5874
Organization SubpartNo
Authorized OfficialRichard Thomas DaspitCeo · (225) 906-4644
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 11, 2019
NPI 1164510475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 494
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
570 SOLOMON ST, Greenville, MS 38703

Other Names 1

Doing Business AsAutumn Leaves Nursing Home

Other Identifiers 1

Medicaid220307MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Healthcare, Inc.'s NPI number?

The NPI number for Magnolia Healthcare, Inc. is 1164510475. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Autumn Leaves Nursing Home.

Where is Magnolia Healthcare, Inc. located?

Magnolia Healthcare, Inc. is located at 570 Solomon St, Greenville, MS 38703. The listed phone number is (662) 335-5863.

What is Magnolia Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Magnolia Healthcare, Inc. was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.